2026 NPPES data Primary Care Nurse Practitioner NPI 1932685146
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TULSI PATEL

Primary Care Nurse Practitioner in TOMS RIVER, New Jersey. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
18
Medicare Part D claims · 17 beneficiaries · Primary Care Nurse Practitioner avg: 1K
MIPS score
95.7781/100
▲ 13 pts above national avg 83.1 · [object Object]

What the federal data shows

TULSI PATEL reported a CMS MIPS final score of 95.7781/100 — above the 83.1 national average — and filed 18 Medicare Part D claims in 2023.

95.7781/100
MIPS score · +13 vs avg
18
Part D claims, 2023

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

TULSI PATEL's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

96 Top 21% higher than 79% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

What does the federal data show about TULSI PATEL?

High performer (top quartile)

NPI registry status

Active

Issued 07/11/2018

NPI 1932685146

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

18 99% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

95.7781/100 12.6781% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in New Jersey

How Primary Care Nurse Practitioner compares to other specialties among New Jersey providers

New Jersey providers

Primary Care Nurse Practitioner share within New Jersey

1. Primary Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Primary Care Nurse Practitioner share within New Jersey

Medicare quality performance — MIPS

TULSI PATEL's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

High performer (top quartile)
MIPS Final Score
95.7781/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Care Nurse Practitioner) — 95.7781/100 vs national avg 83.1

0%100%National avg83%95.8%
MIPS final score (Primary Care Nurse Practitioner) — 95.7781/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

TULSI PATEL appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider at 99 ROUTE 37 W, TOMS RIVER, NJ, 08755, with a listed phone of (732) 557-8000. NPI 1932685146 was issued on 07/11/2018. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PATEL most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 18 prescription claims written by this provider, covering 17 Medicare beneficiaries and totaling roughly $9K in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 95.7781/100 for the 2023 performance year (Quality 76.7588), compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

99 ROUTE 37 W
TOMS RIVER, NJ 08755

Provider Details

NPI 1932685146
Specialty Primary Care Nurse Practitioner
Gender Female
NPI Issued 07/11/2018

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

95.7781
Final Score
Avg: 83.1
76.7588
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where TULSI PATEL bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

CAPITAL HEALTH MEDICAL GROUP
PENNINGTON, NJ

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

18
Total Claims
$9K
Total Drug Cost
17
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
37
Total Day Supply
1,134

Patient Demographics

Average Patient Age
74.5 years
Avg HCC Risk Score
1.73

Primary Care Nurse Practitioner Overview

How TULSI PATEL fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

TULSI PATEL's 18 claims are below the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in New Jersey

Other clinicians with the same primary specialty enrolled in New Jersey, drawn from the same CMS NPPES roster as PATEL.

Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is TULSI PATEL's specialty?
TULSI PATEL specializes in Primary Care Nurse Practitioner and practices in TOMS RIVER, New Jersey.
How much does TULSI PATEL prescribe under Medicare Part D?
In 2023, TULSI PATEL wrote 18 Medicare Part D claims totaling $9K in drug costs for 17 beneficiaries.
What is TULSI PATEL's Medicare quality score?
TULSI PATEL has a CMS MIPS Final Score of 95.7781/100 (Quality: 76.7588). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is TULSI PATEL located?
TULSI PATEL is located at 99 ROUTE 37 W, TOMS RIVER, NJ, 08755. Phone: (732) 557-8000.
What is TULSI PATEL's NPI number?
TULSI PATEL's National Provider Identifier (NPI) is 1932685146, issued on 07/11/2018.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
Does TULSI PATEL accept Medicare?
TULSI PATEL appears in CMS Medicare data with 18 Part D claims and 17 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify TULSI PATEL's credentials?
TULSI PATEL's NPI is 1932685146. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology